经皮钉钉治疗儿童肱骨髁上2型和3型gargarland骨折的功能和影像学结果

Shashwat Singh Rajput, Jayant Sharma, S. Mustafa
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引用次数: 0

摘要

肱骨髁上骨折是儿童肘部周围最常见的损伤。它约占儿童肘部骨折的60%。本研究的目的是评估经皮钉钉治疗儿童不稳定或不复位的II型和III型肱骨髁上骨折的结果。考虑年龄、性别、患侧、损伤方式、骨折类型、骨折Gartland分类、损伤至手术时间、术后并发症、影像学及临床等因素,对30例儿童进行前瞻性研究。运动损失中位数为5度,携带角度变化中位数为4度。所有患者在携带角度丧失、肘关节屈曲受限和Flynn分级方面均获得满意的结果。有19个病人的评分很好,9个病人的评分很好最后只有2个病人的评分很好。仅01例出现神经功能缺损,仅有01例出现针迹感染。两根交叉克氏针经皮固定治疗Gartland 2型和3型肱骨髁上骨折具有良好的功能和影像学效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Functional and radiological outcome of gartland type 2 and 3 supracondylar fracture humerus in children treated by percutaneous pinning
Supracondylar fracture of Humerus is the commonest injury around the Elbow in children. It constitutes about 60% of all the fractures about the Elbow in children. The aim of the present study is to evaluate the results of percutaneous pinning of unstable or irreducible Type II and III Supracondylar Humeral fractures in children. A prospective study was conducted on 30 children, taking into consideration age, gender, affected side, mode of injury, type of fracture, Gartland classification of fractures, time duration between injury and surgery, postoperative complications and radiographic and clinic variables.: The median loss of motion was 5 degrees and the median change in carrying angle was 4 degrees. All patients had satisfactory results in terms of Loss of Carrying angle, Limitation of Elbow flexion and Flynn’s grading. There were 19 patients that had excellent ratings, 9 patients had good ratings and lastly only 2 patients had fair Flynn’s ratings. There was only 01 patient suffering from neurological deficit and only 01 patient from pin track infection. Percutaneous fixation with two crossed Kirschner wires leads to good functional and radiological outcome of Gartland type 2 and 3 supracondylar fracture humerus in children.
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